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Complete Metabolic Response in Adenocarcinoma Lung With Lymphangitic Carcinomatosis.

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ABSTRACT Pulmonary lymphangitic carcinomatosis refers to the tumor spread into the lymphatic system of the lungs and is considered a poor prognostic marker. We present an interesting case of adenocarcinoma… Click to show full abstract

ABSTRACT Pulmonary lymphangitic carcinomatosis refers to the tumor spread into the lymphatic system of the lungs and is considered a poor prognostic marker. We present an interesting case of adenocarcinoma of right lung evaluated with 18F-FDG PET/CT for baseline staging, with extensive bilateral lung involvement and lymphangitic carcinomatosis pattern. Subsequently, the patient received 3 cycles of carboplatin- and pemetrexed-based chemotherapy regimen along with oral ceritinib. Complete metabolic response and significant reduction in size of the primary lung lesion was noted on response evaluation with 18F-FDG PET/CT, which is a rare phenomenon.

Keywords: lung; complete metabolic; metabolic response; lymphangitic carcinomatosis

Journal Title: Clinical nuclear medicine
Year Published: 2022

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